KRISTA GRANTHAM (NPI# 1073920005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073920005 |
| Entity Type | Individual |
| Full Name | KRISTA GRANTHAM |
| Credential | PA |
| Practice Address |
14603 Huebner Rd Ste 28101 San Antonio TX 78230-5497 |
| Mailing Address |
14603 Huebner Road Ste 28101 Bldg. 28 San Antonio TX 78230-0546 |
| Practice Telephone | 2106147074 |
| Practice Fax Number | 2106147091 |
| Mailing Telephone | 2106147074 |
| Mailing Fax Number | 2106147074 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2019-02-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14603 HUEBNER RD STE 28101 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78230-5497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467074674 | Tyrone Lamar Crews | Perfusionist | 14603 Huebner Rd Ste 28101, San Antonio, TX 78230-5497 | 2020-05-11 |
| 1164042776 | Amy Jo Walker | Perfusionist | 14603 Huebner Rd Ste 28101, San Antonio, TX 78230-5497 | 2020-04-23 |
| 1306475579 | Justin Manley | Perfusionist | 14603 Huebner Rd Ste 28101, San Antonio, TX 78230-5497 | 2020-04-08 |
| 1902432776 | Jacklyn Ann Lamb | Perfusionist | 14603 Huebner Rd Ste 28101, San Antonio, TX 78230-5497 | 2020-03-12 |
| 1962069161 | John Anthony Bennett | Perfusionist | 14603 Huebner Rd Ste 28101, San Antonio, TX 78230-5497 | 2019-05-22 |
| 1104483395 | Christian Mesa | Perfusionist | 14603 Huebner Rd Ste 28101, San Antonio, TX 78230-5497 | 2019-05-22 |
| 1417414129 | Timothy Frank Haumschild | Perfusionist | 14603 Huebner Rd Ste 28101, San Antonio, TX 78230-5497 | 2019-02-28 |
| 1962996835 | Adam Michael Harshman | Perfusionist | 14603 Huebner Rd Ste 28101, San Antonio, TX 78230-5497 | 2018-06-14 |
| 1598272759 | Ryan Michael Coons | Perfusionist | 14603 Huebner Rd Ste 28101, San Antonio, TX 78230-5497 | 2018-01-09 |
| 1043721442 | Mayra Gonzalez | Perfusionist | 14603 Huebner Rd Ste 28101, San Antonio, TX 78230-5497 | 2017-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224834 | Natasha Bakunda | Nurse Practitioner | Fountainhead One Tower, 8200 Ih-10 West, Ste 317, San Antonio, TX 78230 | 2020-10-30 |
| 1154930568 | James Cory Vasquez | Pharmacist | 9900 Wurzbach Road, San Antonio, TX 78230 | 2020-07-31 |
| 1861033144 | Aspasia Amtsberg | Licensed Practical Nurse | 7710 W I-10, San Antonio, TX 78230 | 2019-10-08 |
| 1841840212 | Allison Danielle Davidson | Licensed Vocational Nurse | 7710 West, I-10, San Antonio, TX 78230 | 2019-09-17 |
| 1063062800 | Dalisa Kelly Bacon | Nurse's Aide | 7710 West I 10, San Antonio, TX 78230 | 2019-09-13 |
| 1952878134 | Yvette Turner | Licensed Practical Nurse | 4951 Woodstone Dr, Apt 615 Face 2, San Antonio, TX 78230 | 2018-10-25 |
| 1396226270 | Tammy Lynn Saldana | Registered Nurse | 7710 W I10, San Antonio, TX 78230 | 2018-08-28 |
| 1891275699 | Nina Lum Fru Baumgarten | Counselor | 7710 W1h 10, San Antonio, TX 78230 | 2018-08-21 |
| 1952880833 | Rebecca N Khorram | Speech-Language Pathologist | I-10 W 10609 Frontage Rd, 105, San Antonio, TX 78230 | 2018-08-10 |
| 1770071540 | Michael Allen Kent | Counselor | Northwest Atrium, 11550 West I-10, Suite 235, San Antonio, TX 78230 | 2018-04-27 |
| Find all providers in zip 78230 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447866298 | Diana P Olivares | Physician Assistant | 8920 Quihi Way, San Antonio, TX 78254-1901 | 2020-09-17 |
| 1740893445 | Mcrm Assist, Pllc | Physician Assistant | 14546 Brook Hollow Blvd # 417, San Antonio, TX 78232-3810 | 2020-08-24 |
| 1508476086 | Matthew Gaines | Physician Assistant | 2626 Bluff Xing, San Antonio, TX 78244-1000 | 2020-08-09 |
| 1235757519 | Joseph Dominic Wechsler Jr. | Physician Assistant | 9114 Autumn Skies, San Antonio, TX 78254-1929 | 2020-07-13 |
| 1396368015 | Maureen Genov | Physician Assistant | 540 Madison Oak Dr Ste 450, San Antonio, TX 78258-3932 | 2020-05-28 |
| 1386266062 | Sun Assist, Pllc | Physician Assistant | 10650 Culebra Rd # 104-484, San Antonio, TX 78251-4949 | 2020-05-15 |
| 1134758964 | Mark Lee Nentwig | Physician Assistant | 1434 E Sonterra Blvd Ste 206, San Antonio, TX 78258-4973 | 2020-04-03 |
| 1962034694 | Christina L Russell | Physician Assistant | 525 Oak Centre Dr Ste 100, San Antonio, TX 78258-3916 | 2020-02-11 |
| 1265071203 | Caralyne Sandquist | Physician Assistant | 5510 Presidio Parkway, Building #2 Suite 2401, San Antonio, TX 78249 | 2019-12-21 |
| 1447808498 | Elizabeth Ann Blair | Physician Assistant | 24623 Birdie Rdg, San Antonio, TX 78260-7847 | 2019-09-03 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78230 |
Please comment or provide details below to improve the information on KRISTA GRANTHAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.